Efficacy of the Getting Ready Intervention and the Role of Parental Depression

This study reports the results of a randomized trial of a parent engagement intervention (the Getting Ready Project) on directly observed learning-related social behaviors of children from families of low-income in the context of parent-child interactions. The study explored the moderating effect of parental depression on intervention outcomes. Participants were 204 children and their parents, and 29 Head Start teachers. Semi-structured parent-child interaction tasks were videotaped two times annually over the course of two academic years. Observational codes of child behaviors included agency, persistence, activity level, positive affect, distractibility, and verbalizations. Controlling for gender and disability concerns, relative to children in the control group, those in the treatment condition experienced a significant decline in activity level. Furthermore, compared to children of non-depressed mothers and to control children, those in the experimental condition whose parent reported elevated levels of depression showed greater gains in positive affect and in verbalizations

Obesity Is Not Associated with Antimicrobial Treatment Failure for Intra-Abdominal Infection

Background: Obesity and commonly associated comorbidities are known risk factors for the development of infections. However, the intensity and duration of antimicrobial treatment are rarely conditioned on body mass index (BMI). In particular, the influence of obesity on failure of antimicrobial treatment for intra-abdominal infection (IAI) remains unknown. We hypothesized that obesity is associated with recurrent infectious complications in patients treated for IAI. Methods: Five hundred eighteen patients randomized to treatment in the Surgical Infection Society Study to Optimize Peritoneal Infection Therapy (STOP-IT) trial were evaluated. Patients were stratified by obese (BMI ≥30) versus non-obese (BMI≥30) status. Descriptive comparisons were performed using Chi-square test, Fisher exact test, or Wilcoxon rank-sum tests as appropriate. Multivariable logistic regression using a priori selected variables was performed to assess the independent association between obesity and treatment failure in patients with IAI. Results: Overall, 198 (38.3%) of patients were obese (BMI ≥30) versus 319 (61.7%) who were non-obese. Mean antibiotic d and total hospital d were similar between both groups. Unadjusted outcomes of surgical site infection (9.1% vs. 6.9%, p?=?0.36), recurrent intra-abdominal infection (16.2% vs. 13.8, p?=?0.46), death (1.0% vs. 0.9%, p?=?1.0), and a composite of all complications (25.3% vs. 19.8%, p?=?0.14) were also similar between both groups. After controlling for appropriate demographics, comorbidities, severity of illness, treatment group, and duration of antimicrobial therapy, obesity was not independently associated with treatment failure (c-statistic: 0.64). Conclusions: Obesity is not associated with antimicrobial treatment failure among patients with IAI. These results suggest that obesity may not independently influence the need for longer duration of antimicrobial therapy in treatment of IAI versus non-obese patients.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140219/1/sur.2015.213.pd

Finishing the euchromatic sequence of the human genome

The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead

A spectroscopy and isotope study of sediments from the Antarctic Dry Valleys as analogues for potential paleolakes on Mars

A spectroscopy and isotope study has been performed on igneous sediments from Lake Hoare, a nearly isolated ecosystem in the Dry Valleys region of Antarctica. The mineralogy and chemistry of these sediments were studied in order to gain insights into the biogeochemical processes occurring in a permanently ice-covered lake and to assist in characterizing potential habitats for life in paleolakes on Mars. Obtaining visible/near-infrared, mid-infrared and Raman spectra of such sediments provides the ground truth needed for using reflectance, emittance and Raman spectroscopy for exploration of geology, and perhaps biology, on Mars. Samples measured in this study include a sediment from the ice surface, lake bottom sediment cores from oxic and anoxic zones of the lake and the magnetic fractions of two samples. These sediments are dominated by quartz, pyroxene, plagioclase and K-feldspar, but also contain calcite, organics, clays, sulphides and iron oxides/hydroxides that resulted from chemical and biological alteration processes. Chlorophyll-like bands are observed in the spectra of the sediment-mat layers on the surface of the lake bottom, especially in the deep anoxic region. Layers of high calcite concentration in the oxic sediments and layers of high pyrite concentration in the anoxic sediments are indicators of periods of active biogeochemical processing in the lake. Micro-Raman spectra revealed the presence of ~5 μm-sized pyrite deposits on the surface of quartz grains in the anoxic sediments. C, N and S isotope trends are compared with the chemistry and spectral properties. The δ13C and δ15N trends highlight the differences in the balance of microbial processes in the anoxic sediments versus the oxic sediments. The biogenic pyrite found in the sediments from the anoxic zone is associated with depleted δ34S values, high organic C levels and chlorophyll spectral bands and could be used as a potential biomarker mineral for paleolakes on Mars. © 2003, Cambridge University Press. All rights reserved

Getting Ready: Results of a Randomized Trial of a Relationship-Focused Intervention on the Parent-Infant Relationship in Rural Early Head Start

The purpose of this study is to investigate the effects of a relational intervention (the Getting Ready intervention) on parenting behaviors supporting the parent-infant relationship for families enrolled in Early Head Start home-based programming. Two-hundred thirty-four parents and their children participated in the randomized study, with 42% of parents reporting education of less than a high-school diploma. Brief, semistructured parent-child interaction tasks were videotaped every 4 months over a16-month intervention period. Observational codes of parent-infant relationship behaviors included quality of three parental behaviors: warmth and sensitivity, support for learning, and encouragement of autonomy; two appropriateness indicators: support for learning and guidance/directives; and one amount indicator: constructive behaviors. Parents who participated in the Getting Ready intervention demonstrated higher quality interactions with their children that included enhanced quality of warmth and sensitivity, and support for their children\u27s autonomy than did parents in the control group. They also were more likely to use appropriate directives with their children and more likely to demonstrate appropriate supports for their young children\u27s learning. Results indicate an added value of the Getting Ready intervention for Early Head Start home-based programming for families of infants and toddlers